I thisen sugar hi uluk takin i enfiah em? Zunthlum control nan Blood Sugar Monitoring hi a pawimawh hle.

Zunthlum i vei a nih chuan, "I thisen sugar i check tawh em?" A chang chuan harsatna ang maia hriat theih ni mahse, a takah chuan i zunthlum enkawlna atana thil pawimawh ber pakhat a ni. Car dashboard ang maiin i taksa chhunga thil thlengte a entir che a ni. I thisen sugar level enfiah fo hian nang leh i doctor chu i enkawlna ruahmanna a thawh that dan hriatthiamna a pe thei a ni.

Engvangin nge ka thisen sugar hi ka enfiah fo a ngaih?

I thisen sugar level hi i zunthlum i enkawl that dan tur "report card" angin ngaihtuah rawh. I ei leh in, exercise i tih, damdawi i ei leh i stress tawh ang chi thil te nen i thisen sugar level a inthlak dan hriat theihna awmchhun a ni. Hei hi insulin i ei chuan a pawimawh hle.

Kan nunah thil chi hrang hrang avang hian thisen sugar level a inthlak danglam thei a. Thil engemaw chu tawnhriat hmanga kan thunun theih. Mahse thil thenkhat chu thunun harsa tak a ni. Chuvang chuan doctor-in a sawi angin i thisen sugar enfiah fo a pawimawh.

En teh, hetiang thil hian i thisen sugar a tisang thei tlangpui :

• Carbohydrates awmna chaw ei: Starchy ei tur buh, chhang, leh alu i ei hian.
• Zunthlum damdawi emaw insulin emaw skip emaw ei tlem emaw: Damdawi a hun taka ei loh.
• Exercise neih loh: Taksain a hma aia exercise a neih tlem chuan.
• Damdawi thenkhat: A bik takin steroid (corticosteroids) ei hian.
• Natna emaw, operation emaw, stress: Hetiang hun lai hian taksaa hormone inthlak danglamna avang hian sugar level a sang chho thin.
• Dawn phenomenon: Hei hi thil mak deuh a ni. Kan taksaa hormone inthlak danglamna (natural hormonal changes) an ti a, chu chuan zing lamah kan thisen sugar level a tisang a ni.
• Meizial zuk.
• Tui tlakchhamna (dehydration).
• Puberty: Hetiang dinhmun hi naupang tê tête hormone inthlak danglamnaah hmuh theih a ni.

Tin, hetiang thil hian i thisen sugar a ti tlahniam thei bawk :

• Chaw ei skip.
• Zunthlum natna damdawi emaw insulin emaw ei tam lutuk.
• Exercise: Exercise hian thisen sugar level a tihniam tlangpui.

A châng chuan, i thisen sugar chu a sang thei a, a hniam thei bawk . I taksa leh thil dang dangah a innghat.

• Hmeichhiaah thlasik hun a awm.
• Chaw leh damdawi/insulin ei hun inzawmna.
• Zu in a in thin.
• Natna dang damdawi ei tur.

In lama thisen sugar check dan tur engte nge ni?

In lamah i thisen sugar hi kawng lian pahnih hmangin i enfiah thei a ni.

1. Glucose meter leh test strip hman dan: Hei hi "finger stick check" kan tih chu a ni. A tih dan chu i kut zungtang chu needle hmanga chil a, thisen tlemte lak a ni.

2. Continuous Glucose Monitor (CGM) hman dan: Hei hi vun hnuaia sensor te tak te dah hmanga darkar 24 chhung sugar level enfiahna hmanraw thar a ni.

Heng zinga pakhat emaw, pahnih emaw i thlang em tih hi i doctor nen in sawiho tur a ni. Hei hi nghawng nei thil engemaw zat a awm. Entirnan, hmanrua man, zunthlum i neih chi hrang hrang, leh i doctor-in i thisen sugar enfiah vawi engzat nge a rawt tih te.

Glucose meter leh test strip te a awm bawk

Hei hi kan hriat vek leh kan hman thin traditional method a ni. I kut zungtang chu lancet an tih needle te tak te hmangin i chil a, thisen tlem i la a. Tichuan, chu thisen tla chu glucose meter-a test strip-ah i dah a. Second tlemte chhungin i thisen sugar value chu meter screen-ah a rawn lang ang.

Hetiang method hian check lai chauh a value a pek avangin mi thenkhat, a bik takin insulin ei thinte chuan ni khatah vawi tam tak hetiang hian an check a ngai thin.

CGM (Glucose Monitor chhunzawm zel) 1.1.

Hei hi technology thar tak a ni. I taksaah sensor te tak te dahin darkar 24 chhung i thisen sugar level enfiah ang mai a ni. Hei hian nitin i thisen sugar level a inthlak dan chu graph-ah i hmu thei a ni.

Mahse, he technology hi eng ang pawhin tha mah se, a chang chuan chhiar dik lo a pe thei tih hre reng ang che. Thisen sugar tlahniam symptoms i neih nia i hriat a, mahse i CGM-ah chuan normal reading a lang a nih chuan fingerstick la la, meter pangngai hmangin enfiah leh ngei ang che.

Thisen sugar enfiah dan dik tak

Glucose meter hmanga i thisen sugar i enfiah hian a tlangpuiin hengte hi zawm thin ang che.

1. A hmasa berin sahbawn leh tuiin i kut uluk takin silfai ang che. I kut zungtangte chu ei tur chi hrang hrangin a bawlhhlawh a nih chuan a result chu a dik lo mai thei. I kut zungtangte chu sahbawn leh tui emaw, zu phihfai emaw hmangin phihfai rawh.

2. Meter chhungah test strip dah la.

3. I kut zungtang sir chu lancet device hmangin prick rawh.A laiah aiin a sir lamah i inject chuan a na lo zawk.

4. Thisen tla chu test strip tip thlengin khawih rawh. Meter hian thisen mamawh zat chu automatic-in a la chhuak ang.

5. Second tlemte hnuah screen-ah result a rawn lang ang.

Engtikah nge i thisen sugar i check ang?

I doctor chuan i thisen sugar chu eng chen nge i enfiah tur tih leh engtik lai nge i enfiah tur tih a rel ang. Mi tin a inang lo. Amaherawhchu, thisen sugar hniam emaw, sang emaw symptom i neih apiangin i thisen sugar enfiah a pawimawh.

A hnuaia table hian ni khat chhunga hun hrang hranga i thisen sugar enfiah a pawimawhzia a hriatthiam theih nan a pui ang che.

Heng number te hian eng nge a awmzia?

I thisen sugar level hrisel (target range) hi i tan chuan thil danglam tak a ni. Doctor nena inbiakna hmanga thutlukna siam tur a ni. Thil tam takah a innghat a, chu chu i kum, zunthlum i vei rei tawhna leh damdawi dang i neih leh neih loh te hi a ni.

Mahse, a hnuaia mi hi American Diabetes Association-in puitling naupai lote tana a rawtna tlangpui chu a ni:

• Chaw ei hmain: 80 - 130 mg/dL inkar.
• Chaw ei atanga darkar 1-2 chhung: 180 mg/dL aia tlem.

I thisen sugar level a tlahniam chuan (Hypoglycemia) .

Hetiang dinhmun hi thisen sugar level 70 mg/dL aia hniam a nih chuan a thleng tlangpui. Hei hi a hlauhawm thei a, chuvangin a natna lan chhuah dan i hriat veleh hma lak a pawimawh.

Heng symptoms te hi i neih chuan sugar tlem te te (e.g. glucose toffee, banana, thei tui tlem) te ei nghal rawh. I thisen thlum a tlahniam lutuk chuan i hriatna pawh i hloh thei. Hei hi emergency a ni.

Thisen thlum a san chuan (Hyperglycemia) .

Hetiang dinhmun hi thisen sugar level 180 mg/dL aia tam a nih chuan a thleng tlangpui. Mahse, mi tam tak chuan 250 mg/dL aia tam an ei chuan symptoms an nei tan thin.

Insulin i ei a nih chuan i doctor-in a tih angin insulin dose i ei tur a ni. A châng chuan, thisen sugar sang lutuk, luak chhuak leh hahna nasa tak ang chi natna lan chhuahna a awm chuan, chu chu Diabetic Ketoacidosis (DKA) tih hming pu natna hlauhawm tak a ni thei. Chutiang a nih chuan doctor ko nghal la, a nih loh leh damdawi in hnai ber Emergency Department (ETU) ah kal rawh.

Hei hian harsatna a thlen dan leh a chinfel dan tur

Thisen thlum endik hian hlawkna tam tak nei mah se, mi thenkhat tan chuan harsatna engemaw zat a thlen thei a ni.

• Fingertip soreness: I kut zungtang i chil nawn fo hian fingertip soreness hi a awm thei. Hei hi chinfel nan chuan i kut zungtang chu a laiah ni lovin a sir lamah chil la. Tin, lancet (needle) inang chu hmang nawn leh tawh suh la, a thar hmang fo ang che.
• Cost: Test strip leh CGM system man hi mi thenkhat tan chuan a harsa thei hle. Hemi chungchang hi i doctor nen sawiho rawh. A senso tihtlem dan tur a hrilh thei che a ni.
• Psychological impact: Ni engemaw zat chhunga i thisen sugar level i hmuh hian lungngaihna, thinrim emaw, lungngaihna emaw i neih hi thil pangngai a ni.